A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
"I don't want to lose control of my ability to make decisions."
"I know that everything will be better soon."
"I am afraid of experiencing pain near the end."
"I am relying more and more on my partner for support."
The Correct Answer is C
The client's statement that they are afraid of experiencing pain near the end of life may indicate a risk for suicide, as it suggests that the client may be considering suicide as a way to avoid the anticipated pain. The other statements do not necessarily indicate a risk for suicide.
Statement a) may indicate a desire to maintain autonomy and control over their healthcare decisions.
Statement b) may indicate a hopeful attitude, which can be a protective factor against suicide.
Statement d) may indicate a reliance on social support, which can also be a protective factor against suicide.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Referring clients to the appropriate community agency if signs of abuse are evident is an example of secondary prevention. Secondary prevention aims to detect and treat a disease or condition early on to prevent it from progressing. In this case, referring clients to an agency that can provide support and resources for individuals experiencing abuse can prevent the abuse from escalating or becoming more severe.
Option Ais an example of tertiary prevention, which aims to minimize the impact of an already established disease or condition by maximizing function and preventing complications.
Option Cis an example of primary prevention and health promotion, which aims to improve overall health and well-being.
Option Dis an example of primary prevention, which aims to prevent a disease or condition from occurring in the first place.
Correct Answer is A
Explanation
The first action the nurse should take is to determine the client's understanding of her living situation. This will help the nurse to assess the client's level of knowledge and understanding about her situation and tailor interventions accordingly.
It will also help the nurse to establish a therapeutic relationship with the client and create a safe and trusting environment.
Once the nurse has assessed the client's understanding, she can then proceed to assist the client in developing goals for obtaining shelter, discussing the risks of being homeless, and developing client teaching using a variety of strategies as needed.
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